Hyperdidrosis - No Results After Botox. What Can I Try?

I've always had to carry deodorant and scent free wipes in my purse to clean off & reapply deodorant during the day due to hyperhidrosis. The sweating doesn't leak through clothing; rather the underarms are constantly moist and never feel dry, beginning minutes after I shower. In October/2011, I received my first Botox injections. After 100 units, NO RESULTS! I want to feel dry for once in my life, & I don't want this to affect my wedding dress selection. What other treatments can I try?

Doctor Answers 6

Hyperhidrosis treatment for the armpits if Botox does not work

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Miradry or Retrograde Suction curettage work well for hyperhidrosis of the axilla and armpits in my Los Angeles practice.


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Hi and Thank you for your question!
MiraDry would be a great option for you! It helps to eliminate sweat and odor glands in as little as one treatment! In addition, it has a new indication for hair removal of all colors Approximately a 70% reduction. Call our office for a complementary consultation with our Nurse Practitioner, Jennifer Tinelli at 310-827-2653.
Thank you.


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Our office specializes in Miraday. Miradry just got FDA clearance for elimination of all hair colors under the arm. It also has clearance for the elimination of underarm sweating and odor. Much cheaper than botox and permanent.

Botox Alternatives for Sweating: Miradry

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Miradry is the best way to correct your problem. Excess sweat (hyperhydrosis), and smelly armpits (bromhydrosis) are caused by eccrine (sweat) and apocrine glands whose secretion is modified by bacteria causing a bad odor. Miradry eliminates these glands permanently and solves both problems. You will never need to use deodorant again.

Botox works like a charm for underarm hyperhidrosis - if not, try miraDry

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Botox works great for underarm hyperhidrosis and it is a surprise (rare) for it not to work. The next step would be to try again with another round of Botox or go for the miraDry procedure. miraDry is better than 86% effectve and is FDA approved for underarm hyperhidrosis.

MiraDry is a new treatment for Hyperhidrosis

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There is now an FDA approved treatment for excessive underarm sweating called MiraDry.  In clinical studies, the average sweat reduction was 86%. Other treatments are designed to temporarily disable the sweat glands, however, with MiraDry, results are lasting because the sweat glands are actually eliminated. 

Kathleen M. Welsh, MD
San Francisco Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.